BVA9504102 DOCKET NO. 92-24 265 ) DATE ) ) On appeal from the decision of the Department of Veterans Affairs Regional Office in Nashville, Tennessee THE ISSUE Entitlement to waiver of recovery of an overpayment of improved pension benefits in the amount of $16,212.00, to include the issue of whether the overpayment was properly created. REPRESENTATION Appellant represented by: Veterans of Foreign Wars of the United States ATTORNEY FOR THE BOARD K. J. Alibrando, Associate Counsel INTRODUCTION The veteran served on active duty from February 1945 to November 1946. This appeal arises from an October 1992 decision of the Regional Office's Committee on Waivers and Compromises (RO), which denied the veteran's request for waiver of recovery of an overpayment of improved pension benefits. The Board remanded the case in April 1994 for additional development of the evidence. In June 1993, the veteran's representative raised the issue of entitlement to service connection for residuals of cigarette smoking. This issue was referred back to the RO in the April 1994 remand; however, no action was taken. As that issue has not been properly developed on appeal and is not inextricably intertwined with the issue before the Board, it is once again referred to the RO for appropriate action. CONTENTIONS OF APPELLANT ON APPEAL The appellant asserts, in effect, that the overpayment was improperly created. He argues that his spouse's income should not be included in his countable income and that all he did was to sign the forms after they were filled out by a VA representative. He further asserts that the recovery of the overpayment should be waived because recovery of the debt would be against equity and good conscience. DECISION OF THE BOARD The Board, in accordance with the provisions of 38 U.S.C.A. § 7104 (West 1991), has reviewed and considered all of the evidence and material of record in the veteran's claims file. Based on its review of the relevant evidence in this matter, and for the following reasons and bases, it is the decision of the Board that the overpayment was properly created and that the preponderance of the evidence is against the claim for waiver of recovery of an overpayment of improved pension benefits in the amount of $16,212.00. FINDINGS OF FACT 1. All relevant evidence necessary for an equitable disposition of the veteran's appeal has been obtained by the RO. 2. The veteran was awarded improved pension benefits effective in March 1989 on the basis that the veteran was in receipt of Social Security benefits and that his spouse had no income as was reported by him. 3. In 1989, the veteran's countable income was $3,001 and his spouse earned $8,821. 4. The veteran's countable income of $11,822 for the year 1989 exceeded the applicable statutory limit for entitlement to improved pension benefits effective in March 1989, resulting in the overpayment in question. 5. The veteran was solely at fault in the creation of the overpayment; the VA promptly suspended payment of benefits on learning of the veteran's increased income. 6. The veteran is not currently in receipt of VA benefits. 7. Reliance on VA benefits did not result in relinquishment of a valuable right or the incurrence of a legal obligation. 8. Recovery of the debt would not deprive the veteran of the ability to provide for life's basic necessities; failure to repay the debt would result in unfair gain to the veteran. CONCLUSIONS OF LAW 1. The veteran's countable income exceeded the maximum amount of income allowable for payment of pension during the period of time is question; thus, the overpayment was properly created. 38 U.S.C.A. § 1521(1991); 38 C.F.R.§ § 3.3(a)(3), 3.23, 3.271 (1994). 2. Recovery of an overpayment of compensation benefits in the amount of $16,212.00 would not be against equity and good conscience. 38 U.S.C.A. § § 5107, 5302 (West 1991); 38 C.F.R. §§ 1.963(a), 1.965(a) (1994). REASONS AND BASES FOR FINDINGS AND CONCLUSION The veteran's claim is well grounded within the meaning of 38 U.S.C.A. § 5107(a). That is, he has presented a claim which is plausible. All relevant facts have been properly developed, and no further assistance is required to comply with the duty to assist as mandated by 38 U.S.C.A. § 5107(a). The Board notes that in April 1994, the case was remanded for additional development of the evidence, including a request that the RO obtain a current financial status report from the veteran. By letter dated in May 1994, the RO sent a Financial Status Report form to the veteran and requested that he complete and return it. In June 1994, the veteran returned the blank form and asserted, in effect, that his wife's income should not be counted in determining his rate of pension benefits. He reported his monthly income and certain monthly expenses. He has not, to date, reported his wife's income. In Wood v. Derwinski, 1 Vet.App. 190 (1991), the United States Court of Veteran's Appeals stated that the duty to assist is not always a one-way street, and if a claimant wishes help, he cannot passively wait for it in those circumstances where he may or should have information that is essential in obtaining putative evidence. In this case, as the veteran has refused to provide complete current family financial information, and as this information cannot be obtained without his assistance, we conclude that no further assistance is necessary to comply with the duty to assist under 38 U.S.C.A. § 5107(a). Some of the basic facts are not in dispute. The overpayment in this case was created as a result of the fact that the veteran was paid improved pension benefits on the basis that his spouse had no income when, in fact, his spouse was employed and receiving income. The RO's Committee on Waivers has held that the veteran had contributed to the creation of the overpayment. A review of the record shows that by rating action of February 1989, the RO granted the veteran entitlement to non-service connected disability pension benefits effective from February 1989. In March 1989, the veteran submitted an Improved Pension Eligibility Verification Report (EVR) which indicated that he was receiving Social Security benefits of $490 per month for himself and that his spouse had no income. He reported medical expenses paid in 1988. By letter dated in April 1989, the RO informed the veteran that his claim for pension benefits had been approved and that his monthly rate of pension was based on his reported Social Security income of $5880. The letter also stated that the rate of pension is directly related to his family's income and that any previously unreported income or change in income must be immediately reported. Attached to that letter was VA Form 21- 8768 which advised the veteran that he was required to promptly report any change in his income and number of dependents. In March 1990, the veteran submitted an EVR which indicated that he was receiving $519 monthly in Social Security benefits and that his spouse had no income. He also reported that he paid $3,374 in medical expenses between March 1989 and February 1990. By letter dated in March 1990, the RO notified the veteran that his pension benefits had been amended and again advised him that all family income should be reported. VA Form 21-8768 was attached to that letter. The veteran submitted an EVR in March 1991 which indicated that he was in receipt of $547 per month in Social Security benefits and that his wife had no income. He reported that he paid medical expenses of $2,883 from March 1990 to February 1991. In March 1991, the RO informed the veteran by letter that his pension award had been amended on the basis of the reported income and medical expenses. He was informed that he was required to report all family income and VA Form 21-8768 was also attached. In March 1992, the veteran submitted an EVR which showed that he was receiving $567 per month in Social Security benefits and that his wife had no income. The veteran also reported that he paid medical expenses of $2,612 from March 1991 to February 1992. In March 1992, the RO informed the veteran by letter that his pension award had been amended on the basis of the reported income and medical expenses and, once again, informed him that he was required to report all family income. That letter indicated that VA Form 21-8768 was also attached. In March 1992, the RO conducted an income verification match in cooperation with the Internal Revenue Service (IRS) which showed that the veteran's wife had earned income in 1989 of $8,821. An additional $895 was shown to be paid, however, the payer identification was not available. On VA Form 21-0159a, dated in March 1992, the veteran's spouse certified that 1989 income information received from the Internal Revenue Service was correct, with a notation that the $895 was allocated tips. Also in March 1992, an income verification match showed that the veteran had $1,226 earned income in 1989, in addition to his Social Security benefits. In March 1992, the veteran submitted a signed VA form 21-0519(a), certifying that the $1,226 reported income in 1989 was actually earned in the last two weeks of December 1988 and January 1989. He indicated that he received only Social Security income since his award of pension benefits in March 1989. He asserted that he had not previously reported his wife's income because he had been advised by a "VA agent" that he was not required to report her income if he was not receiving support from her. By letter dated in April 1992, the RO notified that veteran that his pension benefits would be terminated based on evidence showing that his wife had income in the calendar year 1989. The RO determined that $8,821 was the total countable income for 1989 for the veteran's spouse. In April 1992, the veteran submitted as statement in which he argued that his wife's income should not be counted for pension purposes. He indicated that she was employed full time. He asserted that he paid rent and utilities and insurance with his income and that his wife was responsible for her expenses. By letter dated in April 1992, the RO informed the veteran that his pension benefits were terminated effective in March 1989 due to excessive income. Improved pension is a benefit payable by the VA to veterans of a period of war because of disability. Basic entitlement exists if, among other things, the veteran's income is not in excess of the applicable maximum pension rate. If the veteran is married and living with his spouse, pension shall be paid at a prescribed rate. The rate payable shall be reduced by the amount of the veteran's annual income and the amount of annual income of family members. 38 U.S.C.A. § 1521; 38 C.F.R. § 3.3(a)(3). Effective December 1, 1988, the maximum annual rate of improved pension for a veteran with a spouse was $ 8,466, and effective in December 1, 1989, the maximum annual rate was $ 8,864. 38 C.F.R. § 3.23(a). Payments of any kind from any source shall be counted as income during the 12-month annualization period in which received unless specifically excluded. 38 C.F.R. § 3.271(a). A review of the record shows that the veteran was paid improved pension benefits from March 1989 to April 1992 on the basis of the veteran's reported Social Security income and the fact that his wife had no income. However, the March 1992 income verification match, which the veteran's wife verified as accurate, showed that the veteran's wife earned $8,821 in 1989. The RO determined that the veteran's countable income for 1989 was $3,001 and his wife's countable income was $8,821, resulting in total countable income for 1989 of $11,822. In addition, as recently as April 1992, the veteran indicated that his wife was employed full time. The record clearly shows that the veteran's income was excessive for the receipt of improved pension benefits and that the overpayment was properly created. While the veteran has argued that his wife's income should not be countable, the law is clear that the wife's income is countable. Under the provisions of § 1521(c), the rate of pension payable is reduced by the veteran's annual income and the amount of annual income of "family members". Clearly, his argument for exclusion of his wife's income has no basis in the law. Pursuant to 38 U.S.C.A. § 5302(c), a finding of fraud, misrepresentation or bad faith precludes a grant of a waiver of recovery of the overpayment. The RO concluded that the facts in this case do not show the presence of any of the preceding factors and the Board agrees with that conclusion. As a result, the Board's decision on appeal will be limited to the determination of whether or not waiver of recovery of an overpayment of improved pension benefits is warranted on the basis of equity and good conscience. The RO has denied the veteran's claim for waiver on the basis that recovery of the overpayment would not be against equity and good conscience. The RO determined that the veteran's failure to furnish a current financial status report precluded a finding of hardship and, therefore, the veteran's request for a waiver was denied. 38 U.S.C.A. § 5302; 38 C.F.R. § 1.963(a). In the absence of the aforementioned statutory bars to waiver, the factors to be considered in determining whether recovery of the overpayment would violate the principles of equity and good conscience include the following: Whether the actions of the debtor contributed to the creation of the debt; a weighing of the fault of the debtor against that of the VA; whether collection would deprive the debtor of basic necessities; whether withholding of benefits or recovery would nullify the objective for which benefits were intended; whether failure to make restitution would result in unfair gain to the debtor; and whether reliance on VA benefits resulted in relinquishment of a valuable right or the incurrence of a legal obligation. 38 C.F.R. § 1.965(a). The record shows that the veteran was notified by the RO that the amount of pension he was entitled to receive was based directly on the amount of his income, including all family income. He was also informed that he was required to report any changes in his income. Despite being consistently reminded of the VA income reporting requirements, the veteran failed to report his wife's income. The March 1992 income verification match revealed that the veteran's wife had earned $8,821 in 1989. In March 1992, the veteran's wife acknowledged that she had, in fact, earned the sum. The RO promptly suspended the payment of pension benefits in April 1989 on the basis of the reported income. The RO acted timely with regard to the payment of benefits. While the veteran has argued that he only signed the form that was filled out by a VA representative, there is nothing in the record to verify the fact that a VA employee was responsible for the erroneous data supplied to the VA on four separate occasions. On EVR's dated in March 1989, March 1990, March 1991, and March 1992 the veteran, in response to specific questions, reported that his wife had $0 of wages from all employment. By virtue of his signature on each one of these forms, the veteran assumed responsibility for the accuracy of the data he reported. There is no persuasive evidence to show fault on the part of the VA. On the other hand, the veteran's fault is overwhelming without any fault on the part of the VA to offset his fault. The Board must consider whether reliance on benefits resulted in relinquishment of a valuable right or the incurrence of a legal obligation. The veteran has not contended, nor does the evidence show, that he had relinquished a valuable right or incurred a legal obligation in reliance on his VA benefits. Another factor to be considered is whether the recovery of the overpayment would defeat the purpose for which the benefits are intended. In this case the purpose would not be defeated as the veteran is not entitled to pension benefits due to excessive income. In addition, the Board must also consider whether recovery of the debt would result in financial hardship. As noted above, the veteran has failed to submitted complete income and expense information for himself and his spouse. In April 1992, the veteran stated that he paid $345 per month for rent, $125 per month for utilities and $31 per month for Medicare insurance. He stated that he did not pay any of his wife's expenses nor did she pay any of his expenses. In May 1992, the veteran submitted a statement which indicated that all of his assets, including furniture and a 1974 Ford automobile, were worth an estimated $1,000. He stated that he had no savings, cash assets or property. He indicated that his total income at that time, including his wife's earning, was just over $8,000. The most recent information concerning his assets, income and expenses was submitted in a June 1994 statement. The veteran did not complete the financial status report sent to him by the RO and he did not report his wife's income. He indicated that his income was $558 per month. He stated that he paid $365 a month for rent, $125 a month for utilities. He stated that his wife paid all other bills, including medicine costs. He did not list the amount of those expenses. He also indicated that he owns a 1974 Ford automobile. The Board must decide this case based on the evidence before it, noting the veteran's refusal to submit complete financial information. Based on the income and expense information of record, the Board concludes that the evidence does not demonstrate that recovery of the debt would render him unable to provide for life's basic necessities. He has related a total of $490 that he pays in expenses per month. He has indicated that his wife has sufficient income to pay all other monthly expenses. The veteran has failed to submit any evidence which shows that he is unable to provide for the basic necessities. It is to be emphasized that this does not mean that some sacrifice on the part of the veteran would not be required; however, absent a finding that the ability to provide for life's basic necessities would be endangered, it may not be held that financial hardship would result. In view of the overwhelming fault on the part of the veteran together with the fact of his excessive income it is also concluded that failure to repay the debt would result in unfair gain to the veteran. In sum, it appears that none of the elements to be considered in determining whether recovery of the overpayment would be against equity and good conscience support the veteran's claim for waiver. While this list of elements is not all inclusive, a review of the record does not reflect any other basis upon which a claim for waiver could be granted. ORDER Waiver of recovery of an overpayment of pension benefits is denied. C.W. SYMANSKI Member, Board of Veterans' Appeals The Board of Veterans' Appeals Administrative Procedures Improvement Act, Pub. L. No. 103-271, § 6, 108 Stat. 740, ___ (1994), permits a proceeding instituted before the Board to be assigned to an individual member of the Board for a determination. This proceeding has been assigned to an individual member of the Board. NOTICE OF APPELLATE RIGHTS: Under 38 U.S.C.A. § 7266 (West 1991), a decision of the Board of Veterans' Appeals granting less than the complete benefit, or benefits, sought on appeal is appealable to the United States Court of Veterans Appeals within 120 days from the date of mailing of notice of the decision, provided that a Notice of Disagreement concerning an issue which was before the Board was filed with the agency of original jurisdiction on or after November 18, 1988. Veterans' Judicial Review Act, Pub. L. No. 100-687, § 402 (1988). The date which appears on the face of this decision constitutes the date of mailing and the copy of this decision which you have received is your notice of the action taken on your appeal by the Board of Veterans' Appeals.